Mobilization & Manipulation of the Shoulder Flashcards

1
Q

Low grade mobilization is performed in the ___ and stopping short of ___

A

performed in the available joint play and stopping short of tissue resistance

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2
Q

Does low grade mobilization stretch tissue?

A

No

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3
Q

Low grade mobilization is often applied using an ___ technique

A

oscillating technique

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4
Q

Low grade mobilization of the shoulder is used when ___ is the dominant symptom

A

pain

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5
Q

What is the purpose of low grade mobilization of the shoulder?

A
  • Pain control
  • Move synovial fluid
  • Muscle relaxation
  • Maintain joint play when ROM is not allowed
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6
Q

High grade mobilization finds and moves into ___ but never exceeds ___

A

moves into tissue resistance but never exceeds the limits of anatomic integrity

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7
Q

Does high grade mobilization stretch tissue?

A

Yes

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8
Q

High grade mobilization is often applied using one of two techniques:

A
  • Small amplitude oscillations
  • Sustained hold
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9
Q

Which symptoms are most appropriate for high grade mobilization of the shoulder?

A

Stiffness and joint restriction

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10
Q

If a patient’s dominant symptom is pain in the shoulder, what type of mobilization is most appropriate?

A

Low grade mobilization

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11
Q

If a patient’s dominant symptoms are stiffness and joint restriction in the shoulder, what type of mobilization is most appropriate?

A

High grade mobilization

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12
Q

Which type of mobilization is less aggressive?
Which is more aggressive?

A

Low grade is less aggressive
High grade is more aggressive

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13
Q

Which position of shoulder mobilization is less aggressive?
Which is more aggressive?

A

Open-packed is less aggressive
Greater degrees of flexion, extension, or abduction are more aggressive

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14
Q

Which motions of the shoulder are less aggressive?
Which are more aggressive?

A

Distraction is less aggressive
Glide and rotation are more aggressive

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15
Q

Lateral distraction in open-packed position of the shoulder is ___ grade mobilization

A

low grade mobilization

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16
Q

Long axis traction in open-packed position of the shoulder is ___ grade mobilization

A

low grade mobilization

17
Q

Circumduction in open-packed position of the shoulder is ___ grade mobilization

A

low grade mobilization

18
Q

Anterior and posterior glide in open-pack position of the shoulder is ___ grade mobilization

A

low grade mobilization

19
Q

Lateral distraction in open-packed position of the shoulder is ___ grade mobilization

A

high grade mobilization

20
Q

Lateral distraction in 90 degree flexion of the shoulder is ___ grade mobilization

A

high grade mobilization

21
Q

Long axis traction in open-packed position of the shoulder is ___ grade mobilization

A

high grade mobilization

22
Q

Posterior glide in open-packed position with 90 degree flexion of the shoulder is ___ grade mobilization

A

high grade mobilization

23
Q

Inferior glide in 90 degree flexion or 90 degree abduction of the shoulder is ___ grade mobilization

A

high grade mobilization

24
Q

Pure rotation will cause joint ___

A

compression

25
Q

What is an effective way to utilize rotation without adding joint compression?

A

Remove joint slack in rotation and then apply distraction or glide

26
Q

Lateral distraction in open-packed position of the shoulder combined with rotation is ___ grade mobilization

A

high grade mobilization

27
Q

Anterior glide in open-packed position of the shoulder combined with rotation is ___ grade mobilization

A

high grade mobilization

28
Q

Posterior glide in open-packed position of the shoulder combined with rotation is ___ mobilization

A

high grade mobilization

29
Q

What is the progression of mobilization for pain in the shoulder?

A

Low grade:

  • Distraction
  • Distraction/glide (S-I)
  • Glide
30
Q

What is the progression of mobilization for stiffness/joint restriction in the shoulder?

A

High grade:

  • Distraction
  • Distraction/glide (S-I)
  • Glide
  • Rotation (with distraction or glide)